中国中医药信息杂志2013，Vol.20Issue(5)：21-22,2.DOI:10.3969/j.issn.1005-5304.2013.05.008
乙肝后肝硬化中医证型与肝脾超声血流动力学参数的相关性研究
Correlation of Liver and Spleen Ultrasonic Hemodynamic Parameters of Post-Hepatitis B Cirrhosis with Different TCM Syndromes
张寅 1王新月 1江宇泳2
作者信息
- 1. 北京中医药大学东直门医院,北京,100700
- 2. 首都医科大学附属地坛医院中西医结合中心,北京,100015
- 折叠
摘要
Abstract
Objective To explore and identify the correlation of liver and spleen hemodynamic parameters of cirrhosis after hepatitis B with different TCM syndromes, so as to discover valuable ultrasound parameters on TCM syndrome differentiation. Methods For 135 patients in accordance with hepatitis B cirrhosis standard, standardized TCM syndrome differentiation and laboratory test were executed. Portal vein and splenic vein's diameter, blood flow velocity, blood volume per minute and congestion index were measured and analyzed. Results Compared with liver qi stagnation syndrome and damp-heat accumulation syndrome, yang deficiency syndrome of spleen and kidney and blood stasis syndrome appeared more severe portal vein congestion. As the inner diameter of the trunk gradually widened, portal vein blood volume per minute increased gradually and blood flow velocity slow down. Splenic vein hemodynamic parameters showed no significant relationship with TCM syndrome. Conclusion TCM syndrome has a regular pattern of dynamic evolution with the progress of post-hepatitis B cirrhosis. Portal vein's diameter, blood flow velocity, blood volume per minute and congestion index may be appropriate as reference on TCM syndrome judgement of yang deficiency syndrome of spleen and kidney and blood stasis syndrome.关键词
乙肝后肝硬化/辨证分型/肝/脾/超声检查/血流动力学Key words
post-hepatitis B cirrhosis/ TCM syndromes differentiation/ liver/ spleen/ ultrasonography/ hemodynamic parameters分类
医药卫生引用本文复制引用
张寅,王新月,江宇泳..乙肝后肝硬化中医证型与肝脾超声血流动力学参数的相关性研究[J].中国中医药信息杂志,2013,20(5):21-22,2.
